1538582796 NPI number — AAA HOPE COUNSELING, LLC

Table of content: (NPI 1538582796)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538582796 NPI number — AAA HOPE COUNSELING, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
AAA HOPE COUNSELING, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1538582796
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/29/2024
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
10255 COMMERCE DR STE 146
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CARMEL
Provider Business Mailing Address State Name:
IN
Provider Business Mailing Address Postal Code:
46032-7431
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
317-744-5280
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3125 DANDY TRL STE 210
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
INDIANAPOLIS
Provider Business Practice Location Address State Name:
IN
Provider Business Practice Location Address Postal Code:
46214-1460
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
317-796-8838
Provider Business Practice Location Address Fax Number:
317-288-3748
Provider Enumeration Date:
01/23/2014

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
COMPTON
Authorized Official First Name:
MARCIA
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
317-796-8838

Provider Taxonomy Codes

  • Taxonomy code: 101YA0400X , with the licence number:  86000225A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 101YM0800X , with the licence number: 39001446A , registered in the state of IN ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)